台灣中部地區長期照護機構服務人員感染控制認知、態度與行爲之研究

Knowledge, Attitude and Behavior of Infection Control among Staff in Long-term Care Facilities in Central Taiwan

林昭卿(Chao-Ching Lin) ； 宋琇鈺(Hsiu-Yu Sung) ； 莊照明(Chao-Ming Chuang) ； 藍育慧(Yii-Hai Lan)

《長期照護雜誌》 13卷3期 (2009/12) Pp. 351-362

https://doi.org/10.6317/LTC.200912_13(3).0007

摘要

長期照護機構中以院內感染為首要問題，本研究目的為了解中部地區長期照護機構中工作人員對感染控制的知識、態度與行為的現況，並探討相關影響因素。研究採橫斷式方法應用結構式問卷，以中部地區112家長期照護機構的護理人員及照顧服務員為對象，共收集659份有效問卷資料並進行分析。結果為護理人員與照顧服務員在感染控制之認知、態度、行為並無顯著差異；護理之家的感控認知較養護機構差，但態度及行為則無顯著差異；小型機構的感控認知及態度並無顯著優於大型機構，但是感控行為顯著高於大型機構。行為是產生結果的過程，無論如何強化認知或態度，最終須有正確行為產生。所以制定明確地感染控制工作守則及考核機制是重要的工作。此外，建議長期照護機構應有感染控制管理師，有效監控機構的環境品質安全。

關鍵字

感染控制 ； 知識 ； 態度 ； 行爲

並列摘要

Nosocomial infection is the most important issue among long-term care facilities. The purpose of this study was to explore the knowledge, attitudes and behaviors of nursing workers, who worked in long-term care facilities in central Taiwan, toward infection control, and the related factors. The methods of cross-sectional survey and structured interview were utilized in this study. The study subjects included nurses and nursing assistants working among one hundred and twelve long-term care facilities in central Taiwan. Six hundred and fifty-nine effective questionnaires were collected. This study showed that the knowledge, attitudes, and behaviors toward infection control were not significantly different between nurses and nursing assistants. The knowledge for infection control among the staff in nursing homes was worse than that in the other facilities. There was no significant difference in the attitude and behavior for infection control between nursing homes and the other facilities. The knowledge and attitudes of the staff for infection control among small facilities were not significantly better than those among big facilities; however, the behaviors for infection control among small facilities were better than that among big facilities. In conclusion, behaviors are the process of the result. No matter how knowledge and attitudes are reinforced, in the end, correct behaviors shall be produced. Thus, it is important to establish a rating mechanism and exact working regulations for infection control. In addition, it is advised that infection controllers be assigned in long-term care facilities in order to effectively monitor the quality of organizations' environment.

並列關鍵字

infection control ； knowledge ； attitude ； behavior